Math – Personal History

1.	Full Name ________________________________

2.	Grade Level    9    10    11    12.     Period: ____

3.	What math course did you take last year?  

Where?

Briefly, how did you do?

4.	What math course did you take the year before that?  

Where?

Briefly, how did you do?

5.	What did you like about last year’s course?

What did you like the year before that?

6.	In past math courses, I learned a lot when we did …. [fill in the sentence]

7.	In past math courses, I did not like it when … [fill in the sentence]

8.	This year, to improve how I do in class, I would like to change how I … [fill in the sentence]

9.	
In math courses until now, I have learned best from … 
[Rate from 1(disagree) to 5(agree).]

___Doing the homework
___Reading the textbook
___Classmates during class
___The teacher’s lectures
___Group work in class
___Searching the internet
___Studying for tests and quizzes
___Meetings with the teacher
___Friends outside class
___Tutors
___Other ___________________

10.	So far in this class, what have you liked?

11.	So far in this class, what would you like to change?

12.	In school, what subjects are you the most interested in?  

What about outside school?

13.	Write down what you would like me to know about 
a.	you,
b.	how you learn, 
c.	what works best for you, 
d.	what you don’t like,
e.	any difficulties you have, and
f.	anything else.